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ELECT�CICAL PERMIT APF�.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �:__�!�Y � � r'�% v�e Sc� A- ;�,.� <br /> P�C:JECT ADDRESS <br /> /��c;v�.� Sa.�-� -��<<�.� LC c. �). l�o.e ��5 i 5,,:1 �-',4- Sa��t�� 52a-�.3�i-Sai� <br /> Owner Mail Address City State/Zip Phona <br /> 5;��.:� 1.,�-� C� � ;,; ��,�,� �a� <br /> ,. <br /> Tenan� Mail Addrzss Ciry State2ip Phone <br /> �sso�r�-�.�J E�.��� P, c�, Gok � 8� s,���..,:s� w,� s�'�s� y.i:�-3ar-�ss5 <br /> Eleclrical Coniraclor tdail Address City State2ip Phone <br /> /�(s s� < c�_ o �'8w� <br /> 7 z s-� G�= <br /> State License Number CoNract Price of Work <br /> 4 'd�i�t / ` �t �'`iP.1 n R/4-� (��P <br /> Proposed Use f Building Conlact Person (Plan Review) <br /> Description of Work lo Be Done: /L�-(' VJ S C.Q V.s�{ � �.v�J'� 5 Q�. � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHING70N. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> AFPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHEP. <br /> EDUCATIONAL FACILITIES AND ALL HEAL'fH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I I HEFEBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND COARECL .4LL <br /> PROVIS(ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOqK WILL EE COMPLETED WHETHER SPECIF/ED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI'fY TO VIOLATE OR CANCEL THE PROV/SIONS OF ANY OTHER <br /> STATE OF LOCAL LAW REGULATING CQNSTRUCTICN OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY 70 PERFORM THE WORK FOR WHICH APPLICATION /S MA�E ANC / COMPLY WITH THE STATE <br /> CONTRACTORS LAth'iH.27 RCW AND 296.200 VVAC. <br /> � "/ l✓t � �i.�� �:t.t,� � /�G- 3��� FEE <br /> SignaWre Date � <br /> i _ , <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED `� L �,J_ � � <br /> / � <br />